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Jeremy Clark Blackwood
Mental Health Counselor in Lynn, Massachusetts
NPI 1598015372

Jeremy Clark Blackwood is a Mental Health Counselor based in Cambridge, MA and is specialized in Mental Health. Jeremy Clark Blackwood practices in Lynn, MA. The NPI Number for Jeremy Clark Blackwood is 1598015372 and holds a License No. (Massachusetts).

The current practice location address for Jeremy Clark Blackwood is 181 Union St Ste 2, Lynn, MA and can be reached out via phone at 978-542-1951.

Location: 181 Union St Ste 2, Lynn, MA, 02141-1420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598015372
Provider Name
Jeremy Clark Blackwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
181 Union St Ste 2, Lynn, MA, 02141-1420
Phone Number
978-542-1951
Fax Number
Provider Enumeration Date
09/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
181 Union St Ste 2
City
Lynn
State
Massachusetts
Zip
01901-1346
Phone Number
978-542-1951
Fax Number
person
Provider Business Mailing Address Details
Address
181 Union St Ste 2
City
Lynn
State
Massachusetts
Zip
01901-1346
Phone Number
978-542-1951
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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